Active NPI
Wendy S. Horton-Bierema, MA, LLP, OTRL
- Psychologist
- Kalamazoo, MI
National Provider Identifier
1598764219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361002972
- Practice address
- 605 Howard St
Kalamazoo, MI 49008-1919 - Phone
- (269) 323-8770
- Fax
- (269) 215-8020
- NPI assigned
- Jul 15, 2005
- Last updated
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361002972 | MI | Primary |
| Occupational Therapist | 225X00000X | 5201002009 | MI |
Addresses
Primary practice location
605 Howard St
Kalamazoo, MI 49008-1919
Mailing address
2519 Sheffield Dr
Kalamazoo, MI 49008-2211
Phone (269) 323-8770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120430000780 | MI | Practitioner - Occupational Therapist in Private Practice | 9638331184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361002972 | MI | MD | Psychologist |
| 5201002009 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Center for Occupational Therapy, LLC | Psychologist | Current | Accepting new patients |
Locations
605 Howard St
Kalamazoo, MI 49008
Phone (269) 323-8770
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Kalamazoo, MI
- NPI 1790059111
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1598764219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 SHEFFIELD DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082211",
"telephone_number": "269-323-8770",
"fax_number": "269-215-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HOWARD ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081919",
"telephone_number": "269-323-8770",
"fax_number": "269-215-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON-BIEREMA",
"first_name": "WENDY",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "MA, LLP, OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361002972",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201002009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.